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Individual

GHULAM MURTAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6410 FANNIN UTP BLDG SUITE 210, HOUSTON, TX 77030
(832) 325-7131
(713) 512-2216
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(832) 325-7131
(713) 512-2216

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E4557
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00508U
MEDICARE GROUP PIN
TX
05
160059760
TX
Enumeration date
07/11/2005
Last updated
10/10/2016
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